,100 Questions & Answers
About Breast Surgery
Joseph J. Disa, MD, FACS
Associate Attending Surgeon
Plastic and Reconstructive Surgery Service
Memorial Sloan-Kettering Cancer Center
New York, New York
Marie Czenko Kuechel, MA
Founder and President
Czenko Kuechel Consulting, Ltd.
,World Headquarters
Jones and Bartlett Jones and Bartlett Jones and Bartlett
Publishers Publishers Canada Publishers International
40 Tall Pine Drive 6339 Ormindale Way Barb House, Barb Mews
Sudbury, MA 01776 Mississauga, Ontario L5V1J2 London W6 7PA
CANADA UK
www.jbpub.com
Jones and Bartlett’s books and products are available through most bookstores and online book-
sellers. To contact Jones and Bartlett Publishers directly, call 800-832-0034, fax 978-443-8000, or
visit our website www.jbpub.com.
Substantial discounts on bulk quantities of Jones and Bartlett’s publications are available to corpora-
tions, professional associations, and other qualified organizations. For details and specific discount
information, contact the special sales department at Jones and Bartlett via the above contact infor-
mation or send an email to .
All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in
any form, electronic or mechanical, including photocopying, recording, or by any information storage
and retrieval system, without written permission from the copyright owner. The authors, editor, and
publisher have made every effort to provide accurate information. However, they are not responsible for
errors, omissions, or for any outcomes related to the use of the contents of this book and take no
responsibility for the use of the products described. Treatments and side effects described in this book
may not be applicable to all patients; likewise, some patients may require a dose or experience a side
effect that is not described herein. The reader should confer with his or her own physician regarding
specific treatments and side effects. Drugs and medical devices are discussed that may have limited
availability controlled by the Food and Drug Administration (FDA) for use only in a research study or
clinical trial. The drug information presented has been derived from reference sources, recently pub-
lished data, and pharmaceutical research data. Research, clinical practice, and government regulations
often change the accepted standard in this field. When consideration is being given to use of any drug
in the clinical setting, the healthcare provider or reader is responsible for determining FDA status of
the drug, reading the package insert, reviewing prescribing information for the most up-to-date recom-
mendations on dose, precautions, and contraindications, and determining the appropriate usage for the
product. This is especially important in the case of drugs that are new or seldom used.
Copyright © 2006 by Jones and Bartlett Publishers, Inc.
Library of Congress Cataloging-in-Publication Data
Disa, Joseph J.
100 questions and answers about breast surgery / Joseph J. Disa, Marie Czenko Kuechel.— 1st ed.
p. cm.
ISBN 0-7637-3041-6 (pbk.)
1. Breast—Surgery—Popular works. I. Title: One hundred questions and answers about breast
surgery. II. Kuechel, Marie Czenko. III. Title.
RD539.8.D57 2006
618.1’9059—dc22
2005009008
Production Credits
Executive Publisher: Christopher Davis
Production Director: Amy Rose
Production Assistant: Kate Hennessy
Editorial Assistant: Kathy Richardson
Marketing Manager: Laura Kavigian
Manufacturing Buyer: Therese Connell
Composition: Northeast Compositors, Inc.
Cover Design: Colleen Halloran
Senior Photo Researcher: Kimberly Potvin
Cover Images: Clockwise from top left © AbleStock, © Ablestock, © Ablestock, © LiquidLibrary
Printing and Binding: Malloy, Inc.
Cover Printing: Malloy, Inc.
Printed in the United States of America
09 08 07 06 05 10 9 8 7 6 5 4 3 2 1
1337
, Dedication
This book is dedicated to my family, patients, and teachers.
Without them this would not have been possible.
Joseph J. Disa, MD, FACS
To my dear Aunt Ann Marie, a woman whose love never stops giv-
ing, to Katherine M. Marcyniuk, a friend, teacher and true hero to
the countless who love her, and to all the women who face or
choose breast surgery with the courage, faith, and passion for life
and for their future.
Marie Czenko Kuechel, MA
iii
About Breast Surgery
Joseph J. Disa, MD, FACS
Associate Attending Surgeon
Plastic and Reconstructive Surgery Service
Memorial Sloan-Kettering Cancer Center
New York, New York
Marie Czenko Kuechel, MA
Founder and President
Czenko Kuechel Consulting, Ltd.
,World Headquarters
Jones and Bartlett Jones and Bartlett Jones and Bartlett
Publishers Publishers Canada Publishers International
40 Tall Pine Drive 6339 Ormindale Way Barb House, Barb Mews
Sudbury, MA 01776 Mississauga, Ontario L5V1J2 London W6 7PA
CANADA UK
www.jbpub.com
Jones and Bartlett’s books and products are available through most bookstores and online book-
sellers. To contact Jones and Bartlett Publishers directly, call 800-832-0034, fax 978-443-8000, or
visit our website www.jbpub.com.
Substantial discounts on bulk quantities of Jones and Bartlett’s publications are available to corpora-
tions, professional associations, and other qualified organizations. For details and specific discount
information, contact the special sales department at Jones and Bartlett via the above contact infor-
mation or send an email to .
All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in
any form, electronic or mechanical, including photocopying, recording, or by any information storage
and retrieval system, without written permission from the copyright owner. The authors, editor, and
publisher have made every effort to provide accurate information. However, they are not responsible for
errors, omissions, or for any outcomes related to the use of the contents of this book and take no
responsibility for the use of the products described. Treatments and side effects described in this book
may not be applicable to all patients; likewise, some patients may require a dose or experience a side
effect that is not described herein. The reader should confer with his or her own physician regarding
specific treatments and side effects. Drugs and medical devices are discussed that may have limited
availability controlled by the Food and Drug Administration (FDA) for use only in a research study or
clinical trial. The drug information presented has been derived from reference sources, recently pub-
lished data, and pharmaceutical research data. Research, clinical practice, and government regulations
often change the accepted standard in this field. When consideration is being given to use of any drug
in the clinical setting, the healthcare provider or reader is responsible for determining FDA status of
the drug, reading the package insert, reviewing prescribing information for the most up-to-date recom-
mendations on dose, precautions, and contraindications, and determining the appropriate usage for the
product. This is especially important in the case of drugs that are new or seldom used.
Copyright © 2006 by Jones and Bartlett Publishers, Inc.
Library of Congress Cataloging-in-Publication Data
Disa, Joseph J.
100 questions and answers about breast surgery / Joseph J. Disa, Marie Czenko Kuechel.— 1st ed.
p. cm.
ISBN 0-7637-3041-6 (pbk.)
1. Breast—Surgery—Popular works. I. Title: One hundred questions and answers about breast
surgery. II. Kuechel, Marie Czenko. III. Title.
RD539.8.D57 2006
618.1’9059—dc22
2005009008
Production Credits
Executive Publisher: Christopher Davis
Production Director: Amy Rose
Production Assistant: Kate Hennessy
Editorial Assistant: Kathy Richardson
Marketing Manager: Laura Kavigian
Manufacturing Buyer: Therese Connell
Composition: Northeast Compositors, Inc.
Cover Design: Colleen Halloran
Senior Photo Researcher: Kimberly Potvin
Cover Images: Clockwise from top left © AbleStock, © Ablestock, © Ablestock, © LiquidLibrary
Printing and Binding: Malloy, Inc.
Cover Printing: Malloy, Inc.
Printed in the United States of America
09 08 07 06 05 10 9 8 7 6 5 4 3 2 1
1337
, Dedication
This book is dedicated to my family, patients, and teachers.
Without them this would not have been possible.
Joseph J. Disa, MD, FACS
To my dear Aunt Ann Marie, a woman whose love never stops giv-
ing, to Katherine M. Marcyniuk, a friend, teacher and true hero to
the countless who love her, and to all the women who face or
choose breast surgery with the courage, faith, and passion for life
and for their future.
Marie Czenko Kuechel, MA
iii
